Haney Mallemat

@CriticalCareNow

Critical Care, Emergency Medicine, Ultrasound, Echocardiography & education. No financial disclosures. Tweets are not medical advice

South of the Garden resusx.com/CriticalCareNow Joined November 2010

261 Following 34K Followers 11K Posts

Latest posts 5

Haney Mallemat @CriticalCareNow 9h

Which vent mode is the worst choice for a DKA patient in metabolic acidosis, and do you know why?

Nicholas Ghionni, DO (@pulmtoilet) from ResusX:2026:
High minute ventilation demand meets a machine that can't keep up. What’s your shop’s protocol? Comment to discuss.

0:43

Haney Mallemat @CriticalCareNow 13h

LVAD patient, altered, alarms firing, you can't get a BP. What's your first move?

Leen Alblaihed, MBBS from ResusX:2025:
Standard resuscitation rules don't apply here. How does your team handle this in the first 10 minutes? Share your approach below.

0:24

Haney Mallemat @CriticalCareNow 15h

You reduced the dislocation. Patient feels fine. Do you still order the post-reduction X-ray?

Arun Sayal, MD (@castedcourse) from EMx:2026:
Almost always yes, but there's at least one bedside exception. What's your threshold at your institution? Comment to discuss.👇

0:40

Haney Mallemat @CriticalCareNow 18h

Unvaccinated febrile kid, normal procalcitonin.

Alfred Sacchetti, MD from EMx:2026:
Are you reassured, or does the missing vaccine history change how you interpret that result? What's your threshold for workup at your institution? Let's discuss.

0:42

Haney Mallemat @CriticalCareNow 1d

Your vented patient is crashing and you just bumped the RR. Could you have caused it?

Nicholas Ghionni, DO (@pulmtoilet) from ResusX:2026:
Auto-PEEP from breath stacking is a silent killer at the bedside. How do you catch it before it catches your patient? Comment below.👇

0:42